|Entity Type||Healthcare Provider|
|Active||Over 11 years ago|
|Name||KEVIN C KEVIN|
|1524 DOCTORS DR
BOSSIER CITY LA, 71111-3322, US
|PO BOX 52389
SHREVEPORT LA, 71135-2389, US
|Remove 1063454338 NPI Number|
According to our database, Pilgrim Manor Guest Care Center, Llc NPI is 1063454338, taxonomy code is 314000000X and license number is 873, license state is located at Louisiana. Pilgrim Manor Guest Care Center, Llc physically located at 1524 Doctors Dr, Bossier City LA, 71111-3322. NPI Number 1033115704 has the healthcare provider type.
1063454338 NPI number is provided on an as is basis without warranty of any kind. 1063454338 is maintained by the National Plan & Provider Enumeration System. The contents of Pilgrim Manor Guest Care Center, Llc are for informational purposes only.